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Am J Public Health. 2014 Mar;104(3):e31-8. doi: 10.2105/AJPH.2013.301789. Epub 2014 Jan 16.

The state of transgender health care: policy, law, and medical frameworks.

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At the time of the study, Daphna Stroumsa was first with the Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, and then with the Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI.


I review the current status of transgender people's access to health care in the United States and analyze federal policies regarding health care services for transgender people and the limitations thereof. I suggest a preliminary outline to enhance health care services and recommend the formulation of explicit federal policies regarding the provision of health care services to transgender people in accordance with recently issued medical care guidelines, allocation of research funding, education of health care workers, and implementation of existing nondiscrimination policies. Current policies denying medical coverage for sex reassignment surgery contradict standards of medical care and must be amended.

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